Ann Kiley Developmental Center Unit 3563 Home 43

Specialty details in registry · Waukegan, IL

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At a glance

1401 W Dugdale Rd, Waukegan, IL 60085-6263

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

1401 W Dugdale Rd
Waukegan, IL 60085-6263
Professional details: NPI, taxonomy & registry record
NPI1790813715
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
320600000X
Enumeration date
Mar 1, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

320600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1401 W Dugdale Rd
Waukegan, IL 60085-6263
Phone
(847) 249-0600
Fax
(847) 249-4587
Mailing address
1401 W DUGDALE RD

WAUKEGAN, IL 600856263
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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